<html xmlns="http://www.w3.org/1999/xhtml"> 
<head> 
  <title>Programmer Questionnaire</title> 
</head> 
<body> 
  <form method="post" action="page.aspx"> 
    <div> 
      Enter your first name:&nbsp; 
      <input type="text" name="FirstName" /> 
      <br /> 
      Enter your last name:&nbsp; 
      <input type="text" name="LastName" /> 
      <br /><br /> 
      You program with: 
      <br />&nbsp;&nbsp;&nbsp; 
      <input type="checkbox" name="CS" />C# 
      <br />&nbsp;&nbsp;&nbsp; 
      <input type="checkbox" name="VB" />VB .NET 
      <br /><br /> 
      <input type="submit" value="Submit" id="OK" /> 
    </div> 
  </form> 
</body> 
</html> 

